202 results match your criteria: "Calcaneal Bursitis"
[Behind the pain: retrocalcaneal bursitis].
Medicina (B Aires)
October 2024
Departamento de Imágenes, Centro de Educación Médica e Investigaciones Clínicas (CEMIC), Buenos Aires, Argentina.
Biomechanical Changes to the Hindfoot After Zadek Osteotomy.
Foot Ankle Int
December 2024
The University of Connecticut, Department of Orthopedics, Farmington, CT, USA.
Article Synopsis
- - The study investigates how the Zadek osteotomy (ZO) affects the biomechanics of the Achilles tendon and surrounding structures in cadaveric specimens with insertional Achilles tendinopathy (IAT).
- - Results show that after ZO, the Haglund prominence moved forward, the Achilles tendon insertion shifted upward, and retrocalcaneal pressure significantly decreased.
- - Despite these changes, the strain on the Achilles tendon did not show significant alterations, suggesting the ZO effectively relieves pressure without greatly affecting tendon strain.
Endoscopic Calcaneoplasty in Haglund Disease: Surgical Technique, Clinical and Subjective Outcomes.
Foot Ankle Int
October 2024
Hospital Italiano de Buenos Aires, Foot and Ankle Section, Orthopaedics Department, Buenos Aires, Argentina.
Article Synopsis
- Endoscopic procedures for treating Haglund disease have become more popular over the past decade due to their advantages over traditional methods, such as minimizing recovery time and complications.
- A study analyzing 14 patients who underwent endoscopic calcaneoplasty showed significant improvements in pain levels and overall foot function, with scores improving dramatically post-surgery.
- The results indicated that 85.7% of patients experienced positive outcomes, with no complications or need for reoperations, suggesting the technique is effective and reliable for this condition.
Ankle Muscle Strength and Gait Function After Dorsal Closing Wedge Calcaneal Osteotomy for Haglund Exostosis-Related Heel Pain.
Foot Ankle Int
July 2024
Human Performance Lab, Schulthess Clinic, Zurich, Switzerland.
Article Synopsis
- Haglund exostosis-related heel pain can be treated with dorsal closing wedge calcaneal osteotomy (DCWCO), which has shown promising clinical outcomes in recent studies.
- A study involving 15 patients measured ankle muscle strength and gait function before and a year after surgery, finding minor differences in strength between limbs and improving gait dynamics.
- Post-surgery, patients reported a 48% improvement in foot function, with 80% feeling significantly benefited by the procedure, suggesting effective long-term results from the surgery.
The Heel Complex: Anatomy, Imaging, Pathologic Conditions, and Treatment.
Radiographics
April 2024
From the Department of Radiology, Radiation Oncology, and Medical Physics, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada (D.V.F., A.D.); Department of Medical Imaging, The Ottawa Hospital, 501 Smyth Road, Ottawa, ON, Canada K1H 8L6 (D.V.F.); Ottawa Hospital Research Institute, Ottawa, Ontario, Canada (D.V.F.); Division of Musculoskeletal Radiology, Laboratorio Delboni Auriemo, DASA, São Paulo, Brazil (P.K.G.); and Division of Musculoskeletal Imaging and Intervention, Department of Radiology, University of California San Diego Medical Center, San Diego, Calif (B.K.H.).
Article Synopsis
- Heel pain can stem from issues with the Achilles tendon, calcaneus (heel bone), or plantar fascia, with Achilles tendon conditions ranging from inflammation and degeneration to potential tears.* ! -
- Common calcaneus injuries include fractures, particularly intra-articular ones, and conditions like Haglund syndrome, which may require orthotics or surgery for correction.* ! -
- Plantar fasciitis is the leading cause of heel pain, often treatable through conservative methods, but severe cases may necessitate surgical interventions like plantar fasciotomy.* !
Ultrasonography Enthesitis and Synovitis Screening in Psoriatic Patients: A Case Control Study.
Mediterr J Rheumatol
December 2023
Rheumatology Department, Rabta Hospital, Tunis, Tunisia.
Article Synopsis
- The study investigates the presence of hidden inflammation (synovitis and enthesitis) in psoriasis patients compared to healthy individuals, using ultrasound (US) to assess the condition of joints and tendons.
- Results show that psoriasis patients experienced significantly higher rates of enthesitis (92.5%) compared to controls (40%), indicating more inflammation in their joints and tendons.
- The findings suggest that US could help detect early signs of inflammation in psoriasis patients, but larger studies are needed to confirm its predictive value for developing psoriatic arthritis (PsA).
Endoscopic calcaneoplasty with gastrocnemius recession for Haglund's syndrome: Is it safe and effective? Results from a retrospective case series.
Foot (Edinb)
December 2023
Podiatric Medical Student, Kent State University College of Podiatric Medicine, Independence, OH, USA.
Article Synopsis
- Endoscopic calcaneoplasty (ECP) and gastrocnemius recession (GR) are surgical methods proposed to treat Haglund's deformity and mild to moderate insertional Achilles tendinopathy.
- In a study of 14 patients with less than 50% tendinous degeneration, both procedures were performed, allowing weightbearing in a CAM boot within the first week post-surgery.
- Results showed significant improvements in foot angles and AOFAS scores, indicating that ECP with GR is a safe and effective treatment option, although there were some cases of temporary nerve issues and delayed wound healing.
Ultrasound and MRI of the foot in children and adolescents newly diagnosed with juvenile idiopathic arthritis.
J Ultrason
September 2023
Department of Radiology, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland.
Aim: To evaluate the spectrum of inflammatory features in foot joints which may be detected on routinely performed ultrasound (US) and magnetic resonance imaging (MRI) in children newly diagnosed with juvenile idiopathic arthritis (JIA).
Material And Methods: Two groups of children hospitalized in a reference center for rheumatology, newly diagnosed with JIA and suspected of foot involvement in the course of JIA were included in this retrospective study. In the first group of 47 patients aged 1-18 years, the imaging was restricted to US.
Clinical outcomes and complications of the Zadek calcaneal osteotomy in Insertional Achilles Tendinopathy: A systematic review and meta-analysis.
Foot Ankle Surg
June 2023
Barts Bone & Joint Health, The Royal London Hospital, Barts Health NHS Trust, London, UK.
Article Synopsis
- The Zadek osteotomy is a surgical procedure used to treat Insertional Achilles Tendinopathy (IAT) in patients who haven't had success with other treatments.
- A study analyzing data from ten trials found significant improvements in patient functional scores and pain levels after surgery, with only minor complications reported.
- While the results suggest the procedure is safe and effective, more rigorous research comparing it to other surgical options is needed.
Retrospective Comparison of Isolated Haglund's Deformity Surgery Versus Combined With Gastrocnemius Recession.
J Foot Ankle Surg
July 2023
Attending Physician, Department of Orthopaedic Surgery, Wake Forest Baptist Medical Center, Winston Salem, NC.
Insertional Achilles tendonitis is a common pathology treated by foot and ankle surgeons that may require surgical intervention. Literature has shown good outcomes following detachment and reattachment of the Achilles for removal of the exostosis. However, there is minimal literature showing the impact of adding a gastrocnemius recession to the Haglund's resection.
View Article and Find Full Text PDF12 Cases of Haglund's Syndrome Detected through MRI.
Curr Med Imaging
June 2023
Department of Radiology, The First Hospital of Hunan University of Chinese Medicine, 95 Shaoshan Middle Road, Yuhua District, Changsha 410007, P.R. China.
Article Synopsis
- Haglund's syndrome is a common but often overlooked cause of heel pain, stemming from impingement involving the calcaneus, bursa, and Achilles tendon, making clinical diagnosis challenging.* -
- This study analyzed MR images from 11 confirmed Haglund's syndrome patients to identify key imaging characteristics, including changes in the calcaneus, tendon, and surrounding soft tissues.* -
- Findings revealed that MR imaging commonly shows bone edema, Achilles tendon degeneration, bursitis, and fat pad edema in cases of Haglund's syndrome, providing valuable insights for clinical diagnosis.*
Defining Haglund's deformity radiographically by incorporating the biomechanics of ankle motion.
Foot Ankle Surg
October 2023
Department of Orthopaedics and Rehabilitation, University of Vermont Larner College of Medicine, Burlington, VT 05401, USA. Electronic address:
Article Synopsis
- - Haglund's deformity is characterized by pain at the back of the heel, and this study aimed to refine the measurements used to diagnose it by considering how ankle movement affects the condition.
- - Researchers analyzed foot X-rays from 55 patients with Haglund's deformity and 50 control patients, using new angular measurements alongside traditional ones to identify differences between the two groups.
- - The new criteria, which factor in ankle motion, were more effective at distinguishing Haglund's deformity cases from controls than previous methods, indicating a need for updated diagnostic approaches.
Anatomy of the congenital calcaneal bursae in the bovine.
Vet Surg
May 2023
School of Veterinary Medicine, University College Dublin, Dublin, Ireland.
Objective: The objective of this study was to determine the anatomical relationship of the congenital calcaneal bursae in the bovine, and describe the computed tomography (CT), endoscopic and gross anatomy of these bursae.
Study Design: Ex vivo experimental.
Sample Population: Eighteen clinically normal cadaver bovine hindlimbs.
Case report: Primary chronic calcaneal bursitis treated with subtotal bursectomy in a cat.
Front Vet Sci
September 2022
College of Veterinary Medicine, Chungnam National University, Daejeon, South Korea.
Article Synopsis
- A 6-year-old spayed Bengal cat presented with swelling and lameness in the hindlimb, having not responded to conservative treatments for 4 months.
- Diagnostic imaging indicated an inflamed lesion around the calcaneal tendon, leading to a diagnosis of bilateral chronic primary calcaneal bursitis.
- After surgical removal of the swollen bursae and a follow-up period, the cat showed no signs of pain or recurrence, confirming that subtotal bursectomy is an effective treatment for this condition.
Surgical Treatment of Haglund's Deformity: A Systematic Review and Meta-Analysis.
Cureus
July 2022
Department of Orthopaedic Surgery, Changi General Hospital, Singapore, SGP.
Article Synopsis
- Haglund's deformity, or posterosuperior calcaneal prominence, can cause painful retrocalcaneal bursitis, often requiring surgery if conservative treatments fail.
- Surgical options include both open and endoscopic methods, focusing on removing the bursa, reducing the calcaneal prominence, and cleaning up the Achilles tendon.
- A review of 20 relevant studies indicates that both surgical approaches effectively improve patient outcomes, with endoscopic surgery showing benefits like shorter surgery times and fewer complications, but more research is needed for optimization.
Angle of BRINK - a new way to measure Haglund's deformity.
Skeletal Radiol
February 2023
Department of Musculoskeletal Radiology, Royal Orthopaedic Hospital, Bristol Road South, Northfield, Birmingham, UK.
Introduction: Haglund's deformity, an abnormality of the postero-superior corner of the calcaneum, is a common, critically debated cause of posterior heel pain. Several radiological indices such as Fowler-Philip angle, Ruch pitch, Chauveaux-Liet angle, calcaneal pitch angle, parallel pitch lines, and X-Y ratio have been described to measure this deformity. However, most of these lack specificity and have variable intra- and inter-observer reliability.
View Article and Find Full Text PDFThe 'Bauer bump:' ice hockey skates as a common cause of Haglund syndrome.
Phys Sportsmed
October 2023
Center for Shoulder, Elbow and Sports Medicine, Columbia University Medical Center, NY, NY, USA.
Article Synopsis
- Ice hockey is a fast-paced sport with a high injury risk due to factors like speed, collisions, and sharp skates.
- Chronic injuries, such as the "Bauer bump," often emerge alongside acute injuries, highlighting the importance of understanding both types.
- Haglund syndrome is a common chronic condition in hockey players, characterized by a bony enlargement on the heel, and requires proper diagnosis and management by clinicians.
Haglund's Deformity as a Cause of Acute Achilles Tendon Rupture: A Case Report.
J Foot Ankle Surg
March 2022
Chief, Department of Traumatology and Orthopedics, Muehlenkreiskliniken, Luebbecke, Germany. Electronic address:
Article Synopsis
- * This case report details a unique instance of a 39-year-old professional handball player experiencing a recurring Achilles tendon rupture alongside severe Haglund's deformity.
- * The player underwent a surgical procedure involving tendon debridement and reattachment using the Arthrex Speedbridge® system, highlighting a specific approach to treat this rare combination of injuries.
Excisional Debridement for Chronic Achilles Insertional Tendinosis: A Novel Technique and Case Review.
Foot Ankle Spec
August 2023
Rowan University School of Osteopathic Medicine, Stratford, New Jersey (TEG, HES, QTC); NYU Winthrop Hospital, Garden City, New York (MCC).
Article Synopsis
- Operative treatment for chronic Achilles insertional tendinosis (AIT) typically involves tendon debridement and removal of related abnormalities, but no single standard technique exists in the literature.
- A study of 57 patients utilized a novel approach where only the central portion of the Achilles tendon was excised, improving visibility and healing during surgery.
- Results showed significant improvement in patient-reported outcomes and pain relief over two years post-operation, although superficial wound breakdown was a common complication.
Clinical results of the Keck and Kelly Wedge Osteotomy approach in Haglund's deformity: Minimum 3-year follow-up.
Foot Ankle Surg
February 2022
Department of Orthopedics and Traumatology, Acibadem Kayseri Hospital, Kayseri, Turkey.
Article Synopsis
- The study investigates the effectiveness of the Keck and Kelly procedure in surgically treating Haglund's deformity, a condition characterized by a bony growth on the heel that can cause pain and bursitis.
- It examines outcomes for 20 patients over at least three years, measuring improvements using AOFAS and visual analog pain scale scores before and after surgery.
- Results showed significant increases in AOFAS scores and decreases in pain levels post-surgery, suggesting that this procedure is a beneficial option for improving ankle function and reducing pain associated with Haglund's deformity.
A Study on Outcome of Surgical Treatment of Chronic Retrocalcaneal Bursitis.
Mymensingh Med J
October 2021
Dr Khandaker Hafijur Rahman, Resident Surgeon, Department of Emergency and Casualty, Mymensingh Medical College Hospital (MMCH), Mymensingh, Bangladesh; E-mail:
Article Synopsis
- Retrocalcaneal bursitis is a painful condition in the heel caused by friction between the retrocalcaneal bursa and the Achilles tendon, often related to a deformity known as Haglund deformity.
- *Conservative treatments are the first line of approach, but if the condition remains chronic, surgical intervention becomes necessary.
- *A study at BSMMU in Bangladesh involving 40 patients showed significant improvement in pain and function after surgery, with a mean AOFAS score increasing from 46 to 89, indicating a 90% satisfaction rate with the outcomes.
Retrospective Evaluation of Septic Subtendinous Calcaneal Bursitis in 29 Cattle.
Animals (Basel)
May 2021
University Clinic for Ruminants, Department of Farm Animals and Veterinary Public Health, University of Veterinary Medicine Vienna, 1210 Vienna, Austria.
Septic subtendinous calcaneal bursitis in cattle commonly results from hock lesions, and less commonly from penetrating wounds. The goal of this retrospective study was to describe clinical and diagnostic imaging findings, outcomes, postoperative complications and postoperative survival times (SURV-T) in cattle with this condition. Clinical data from 29 cattle with a mean age of 4.
View Article and Find Full Text PDFCan Haglund's Syndrome Be Misdiagnosed as Low Back Pain? Findings from a Case Report in Physical Therapy Direct Access.
Healthcare (Basel)
April 2021
Department of Neurosciences, Rehabilitation, Ophthalmology, Genetic and Maternal Infantile Sciences (DINOGMI), University of Genova-Campus of Savona, 17100 Savona, Italy.
Article Synopsis
- - Haglund's syndrome (HS) is a painful foot condition caused by a bony growth on the heel, along with issues in the Achilles tendon and a bursa, making diagnosis tricky due to potential overlaps with other musculoskeletal problems.
- - A 41-year-old male runner, initially treated for back and leg pain, sought help from a physical therapist (PT) due to severe heel pain, leading to an accurate diagnosis and appropriate orthopedic referral.
- - The case emphasizes the important role of PTs in direct access settings as primary care providers, highlighting their skills in correctly diagnosing and managing musculoskeletal issues and knowing when to refer patients for further treatment.
Surface Shape of the Calcaneal Tuberosity and the Occurrence of Retrocalcaneal Bursitis among Runners.
Int J Environ Res Public Health
March 2021
Faculty of Applied Mathematics, AGH University of Science and Technology, 30-059 Krakow, Poland.
Article Synopsis
- The study aimed to determine how the shape of the calcaneal tuberosity (the back part of the heel bone) relates to the likelihood of developing retrocalcaneal bursitis in regular runners.
- It involved 30 runners with a history of the condition and 30 without, using X-rays and ultrasounds to assess the calcaneus and bursa characteristics.
- Results showed that a flat calcaneal tuberosity increases the risk of bursitis fourfold, especially in individuals with a significant calcaneus slope and thicker Achilles tendons.